Individual provider Active NPI

Erin Elizabeth Chavez I, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1073702684
Registry record updated Jan 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0053241 Issued in NY
Practice address
3620 Harlem Rd Ste 14
Buffalo, NY 14215-2042
Phone
(716) 427-3559
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0053241 NY Primary

Addresses

Primary practice location

3620 Harlem Rd Ste 14
Buffalo, NY 14215-2042

Mailing address

3620 Harlem Rd Ste 14
Buffalo, NY 14215-2042
Phone (164) 273-5597

Other practice location 1

4476 Main St Ste 208
Amherst, NY 14226-4465
Phone (716) 427-3559

Other practice location 2

21 Linwood Ave
Williamsville, NY 14221-6501
Phone (716) 626-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0053241NYMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578182400000",
    "number": "1073702684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HARLEM RD STE 14",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152042",
            "telephone_number": "164-273-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HARLEM RD STE 14",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152042",
            "telephone_number": "716-427-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4476 Main St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142264465",
            "country_code": "US",
            "telephone_number": "716-427-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Linwood Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142216501",
            "country_code": "US",
            "telephone_number": "716-626-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_suffix": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0053241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.